摘要
目的 报道 2 7例围手术期应用主动脉球囊反搏 ( IABP)治疗心脏术前、术中、术后顽固性心功能不全和心绞痛经验 ,评估 IABP的有效性、死亡率和并发症发生率。方法 自 1999年 3月至 2 0 0 0年 11月在协和医院连续 2 7例患者围手术期应用 IABP治疗 ,其中心脏瓣膜疾病 10例、冠心病 14例、扩张性心肌病 1例、左房粘液瘤 1例、肾肿瘤1例。结果 2 0例有效 ( 74.0 % ) ;7例死亡 ( 2 6.0 % )。IABP致命性并发症发生情况 ,下肢缺血表现 1例 ( 3 .7% ) ;局部血肿 4例 ( 14.8% ) ;神经系统症状 2例 ( 7.4% )。结论 IABP对围手术期药物治疗无效的因心肌供血不足而引起的顽固性心功能不全和心绞痛有明显作用。穿刺操作熟练可降低并发症发生 。
Objective To sum up the experience of perioperative intraaortic balloon pump (IABP) in treating refractory heart failure and angina before, during and after heart operation in consecutive 27 cases and to evaluate the validity, mortality and complication occurrence of IABP. Methods From March 1999 to Nov. 2000, perioperative IABP was performed on consecutive 27 cases: 10 cases of valvular replacement, 14 cases of coronary artery bypass, one case of heart transplantation, 1 case of PTCA, 1 cases of left atrium myxoma resection. Results Mean IABP time was (52.3±35.9) h (5-140) h, effective rate was 74.0 % (20 cases) and mortality was 26.0 % (7 cases). Complications of IABP therapy included: leg ischemia (3.7 %, one case), local hematoma (14.8 %, 4 cases) and neuropsychological signs (7.4 %, 2 cases). Conclusion IABP therapy is efficient and safe for those who suffered from left ventricle dysfunction from myocardial ischemia. Strict control of indications utilizing IABP would lower the mortality.
出处
《华中科技大学学报（医学版）》
CAS
CSCD
北大核心
2003年第1期89-91,共3页
Acta Medicinae Universitatis Scientiae et Technologiae Huazhong
关键词
主动脉内球囊反博
手术并发症
intraaortic balloon pump
surgical complications
